CPT 66172

Fstlj Sclera Glc Trbec Ab Externo Scarring

CPT 66172 pays $1,029.08 in a non-facility setting and $1,029.08 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $938.80 in Arkansas to $1,286.30 in Alaska, a 37% spread.

National non-facility rate

$1,029.08

Office and other outpatient settings

Facility rate
$1,029.08

Hospital and ASC settings

Highest state
$1,286.30

Alaska

Lowest state
$938.80

Arkansas · 37% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $1,029.08
CPT 66172 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $1,029.08, national facility $1,029.08.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,286.30$1,286.30
District of Columbia
$1,149.81$1,149.81
New York
$1,124.54$1,124.54
California
$1,121.59$1,121.59
New Jersey
$1,121.05$1,121.05
Washington
$1,107.11$1,107.11
Massachusetts
$1,099.41$1,099.41
Connecticut
$1,085.93$1,085.93
Hawaii
$1,082.23$1,082.23
Florida
$1,067.45$1,067.45
Maryland
$1,059.92$1,059.92
Colorado
$1,058.85$1,058.85
Rhode Island
$1,050.81$1,050.81
Oregon
$1,049.36$1,049.36
Illinois
$1,048.96$1,048.96
New Hampshire
$1,045.03$1,045.03
Puerto Rico
$1,034.08$1,034.08
Virgin Islands
$1,034.08$1,034.08
Montana
$1,029.00$1,029.00
Pennsylvania
$1,025.71$1,025.71
Nevada
$1,023.12$1,023.12
Delaware
$1,021.50$1,021.50
Texas
$1,021.13$1,021.13
Wyoming
$1,019.01$1,019.01
Minnesota
$1,016.51$1,016.51
Georgia
$1,014.10$1,014.10
Michigan
$1,013.94$1,013.94
Virginia
$1,009.07$1,009.07
Arizona
$1,007.78$1,007.78
North Dakota
$1,006.07$1,006.07
Vermont
$1,004.87$1,004.87
South Dakota
$1,003.36$1,003.36
New Mexico
$994.79$994.79
Utah
$994.71$994.71
Maine
$992.05$992.05
Louisiana
$986.79$986.79
Missouri
$986.73$986.73
Ohio
$985.28$985.28
South Carolina
$984.74$984.74
North Carolina
$981.12$981.12
Wisconsin
$980.98$980.98
West Virginia
$979.36$979.36
Indiana
$972.15$972.15
Kentucky
$969.51$969.51
Idaho
$968.10$968.10
Oklahoma
$966.19$966.19
Nebraska
$965.94$965.94
Tennessee
$965.00$965.00
Iowa
$962.62$962.62
Kansas
$961.19$961.19
Alabama
$948.89$948.89
Mississippi
$948.49$948.49
Arkansas
$938.80$938.80

Billed by 1 specialties

Commercial rates for 66172

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates